Rabeprazole Sodium NDC 62175-302

NDC codes

FDA NDC Directory

Product NDC (as listed)62175-302Labeler and product segments. Claims need a package NDC.

Product NDC at billing width62175-0302Add the package segment from the table below.

Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC	11-digit (billing)	Package
62175-302-32	62175030232	30 TABLET, DELAYED RELEASE in 1 BOTTLE (62175-302-32)Marketed from Nov 8, 2013
62175-302-41	62175030241	500 TABLET, DELAYED RELEASE in 1 BOTTLE (62175-302-41)Marketed from Nov 8, 2013
62175-302-42	62175030242	250 TABLET, DELAYED RELEASE in 1 BOTTLE (62175-302-42)Marketed from Nov 8, 2013
62175-302-43	62175030243	1000 TABLET, DELAYED RELEASE in 1 BOTTLE (62175-302-43)Marketed from Nov 8, 2013
62175-302-46	62175030246	90 TABLET, DELAYED RELEASE in 1 BOTTLE (62175-302-46)Marketed from Nov 8, 2013

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary): Rabeprazole Sodium
Generic name (nonproprietary): rabeprazole sodium
Active ingredients: Rabeprazole sodium — 20 mg/1
Dosage form: Tablet, Delayed release
Route: Oral
Labeler: Lannett Company, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 090678
Marketing start: Nov 8, 2013
Listing expires: Dec 31, 2026
Other FDA classes: Proton Pump Inhibitors (Mechanism)
Identifiers: Product ID 62175-302_dde0e5ce-043b-4ada-aa94-eab41e41bc17SPL ID dde0e5ce-043b-4ada-aa94-eab41e41bc17SPL set ID 7f7d68f0-972b-4315-b712-0bb8a84c85ccRxCUI 854868UNII 3L36P16U4RUPC 0362175302328
Pharmacologic class: Proton Pump Inhibitor

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N462175030232 followed by a unit qualifier and the quantity

Package 62175-0302-32. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 090678

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 090678
Product	Strength	Form · route	Labeler	Product NDC
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Chartwell RX, LLC	62135-503
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Proficient Rx LP	63187-259
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Golden State Medical Supply, Inc.	51407-184
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Bryant Ranch Prepack	71335-0244